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How can physicians make appropriate treatment decisions in substance abusers who have serious medical illness, especially when patients may not offer the information needed? Drs Westreich and Rosenthal summarize common physical findings that suggest abuse of specific substances. Recognizing these signs allows physicians to reliably diagnose chemical use, leads to improved outcomes, and lends weight to recommendations for substance-abuse therapy.
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Notes on contributors
Laurence M. Westreich
Laurence M. Westreich, MD Dr Westreich is clinical instructor in psychiatry, division of alcoholism and drug abuse, department of psychiatry, New York University School of Medicine. His special interests include the treatment of mentally ill substance abusers and novel detoxification regimens.
Richard N. Rosenthal
Richard N. Rosenthal, MD Dr Rosenthal is associate chairman, department of psychiatry, Beth Israel Medical Center, and assistant professor of psychiatry, Albert Einstein College of Medicine, New York. His interests include coexisting mental illness and substance abuse and provision of integrated services for these patients.